Gardner Deborah B
Workforce Planning and Development, National Institutes of Health Clinical Center, Bethesda, MD, USA.
Nurs Econ. 2007 Jul-Aug;25(4):235-7.
The connection between health care and immigration share overlaping key areas in policy reform. General concern, anger, and fear about immigration has been spreading nationwide. While illegal immigrants' use of expensive emergency department services does add to the cost for uncompensated care, this expenditure is not a primary cost driver but more a symptom of little or no access to preventative or primary health care. As a result of federal inaction, more state politicians are redefining how America copes with illegal residents including how or whether they have access to health care. The overlap of immigration and health care reform offers an opportunity for us to enter the next round of debate from a more informed vantage point.
医疗保健与移民之间的联系在政策改革中存在重叠的关键领域。对移民的普遍担忧、愤怒和恐惧已在全国蔓延。虽然非法移民使用昂贵的急诊科服务确实增加了无偿医疗护理的成本,但这笔支出并非主要成本驱动因素,而更多是无法获得预防性或初级医疗保健的一种症状。由于联邦政府不作为,越来越多的州政客正在重新定义美国应对非法居民的方式,包括他们如何或是否能够获得医疗保健。移民与医疗保健改革的重叠为我们提供了一个机会,使我们能够从更明智的有利位置进入下一轮辩论。